GRAEME STUART MCHENRY D.O.
NPI 1861809683
Family Medicine in Healdsburg, CA

Active since July 14, 2014PECOS EnrolledAccepts Medicare Assignment
80.67/100
CMS Quality Rating
1375 UNIVERSITY ST, HEALDSBURG, CA 95448(707) 431-6500 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Graeme Stuart Mchenry D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAEME STUART MCHENRY D.O. (NPI 1861809683) is an individual family medicine provider in Healdsburg, California, licensed in California (20A17770) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1861809683
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGRAEME STUART MCHENRYCredential: D.O.
Location Address1375 UNIVERSITY STHealdsburg, CA 95448-3382
Mailing AddressOne Medical Center Drive, Rowansom,, Suite 162Stratford, NJ 08084-2655 · (856) 566-6708
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 14, 2014
Last NPPES UpdateMarch 14, 2024
NPPES CertifiedMarch 13, 2024
NPI 1861809683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · 20A17770
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 20A17770 (CA)
1375 UNIVERSITY ST, Healdsburg, CA 95448

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Graeme Stuart Mchenry D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678874534
PECOS Enrollment IDI20200224002161
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
132 services127 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
129 services113 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
98 services98 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
58 services52 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95448 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.08
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
71%31 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$5.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
1375 UNIVERSITY ST
HEALDSBURG, CA 95448
Medicare Defined Swing Bed Unit
1375 UNIVERSITY ST
HEALDSBURG, CA 95448
Clinical Medical Laboratory
1375 UNIVERSITY ST
HEALDSBURG, CA 95448
Internal Medicine (Pulmonary Disease)
1375 UNIVERSITY ST
HEALDSBURG, CA 95448
Internal Medicine
1375 UNIVERSITY ST
HEALDSBURG, CA 95448
Internal Medicine
1375 UNIVERSITY ST
HEALDSBURG, CA 95448
Internal Medicine
1375 UNIVERSITY ST
HEALDSBURG, CA 95448
Internal Medicine
1375 UNIVERSITY ST
HEALDSBURG, CA 95448

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Graeme Mchenry's NPI number?

The NPI number for Graeme Mchenry is 1861809683. It was assigned to this individual provider in the NPPES registry on July 14, 2014.

Where is Graeme Mchenry located?

Graeme Mchenry practices at 1375 University St, Healdsburg, CA 95448. The listed phone number is (707) 431-6500.

What is Graeme Mchenry's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Graeme Mchenry enrolled in Medicare?

Yes. Graeme Mchenry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Graeme Mchenry was last updated on March 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.